Mississippi Administrative Code
Title 24 - Mental Health
Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers
Chapter 24 - Day Programs and Employment Related Services for Adults with Serious Mental Illness
Rule 24-2-24.1 - Psychosocial Rehabilitation Services

A. Psychosocial Rehabilitation Services (PSR) consist of a network of services designed to support, restore and maintain community functioning and well-being of adults with a serious and persistent mental illness. The purpose of the service is to promote recovery, resiliency, and community integration by maintaining the person's optimal level of functioning and preventing psychiatric decompensation, thereby decreasing the risk of unnecessary hospitalization and the need for higher level intensity services such as Program of Assertive Community Treatment (PACT) and Acute Partial Hospitalization. Service activities aim to alleviate current symptomatology and address the person's underlying condition by reducing the negative effects of social isolation, promoting illness education, creating and monitoring wellness action plans, and the development of other coping and independent living skills.

B. Psychosocial Rehabilitation Services must utilize systematic curriculum based interventions for recovery skills development for participants. The curriculum based interventions must be evidence-based or recognized best-practices in the field of mental health as recognized by Substance Abuse and Mental Health Services Administration (SAMHSA). Curriculum based interventions must address the following outcomes for the people participating in Psychosocial Rehabilitation Services:

C. The Psychosocial Rehabilitation Services systematic and curriculum based interventions must address the following core components:

D. The Psychosocial Rehabilitation Services systematic and curriculum based interventions must, at a minimum, include the following topics:

E. All people are required to have a Recovery Support Plan. People must participate in setting goals and assessing their own skills and resources related to goal attainment. Goals are set by exploring strengths, knowledge and needs in the person's living, learning, social, and working environments.

F. Each person must be provided assistance in the development and acquisition of needed skills and resources necessary to achieve stated recovery goals.

G. Documentation of therapeutic activities must be provided in weekly progress notes.

H. Psychosocial Rehabilitation Services must be provided in each location a minimum of three (3) days per week for a minimum of four (4) hours per day, excluding travel time.

I. Psychosocial Rehabilitation Service locations must have sufficient space to accommodate the full range of therapeutic activities and must provide at least fifty (50) square feet of space for each person.

J. Psychosocial Rehabilitation Services must be located in their own physical space, separate from other mental health center activities or institutional settings and impermeable to use by other services during hours of service operation.

K. Psychosocial Rehabilitation Services must include, at each service location, a full-time supervisor (see qualifications, Rule 11.3) . A director or Mental Health Therapist (see qualifications section) with the responsibility of therapeutic oversight must be on-site a minimum of five (5) hours per week. The service director or Mental Health Therapist must plan, develop and oversee the use of an Evidenced-Based Curriculum implemented to address the needs of people receiving Psychosocial Rehabilitation Services. The chosen Evidence-Based Curriculum must be implemented to fidelity. In addition to the minimum of five (5) hours of on-site supervision, the director or Mental Health Therapist must also participate in clinical staffing and/or Treatment Plan review for the people in the service(s) that he/she directs.

L. Psychosocial Rehabilitation Services must maintain a minimum of one (1) qualified employee to each twelve (12) or fewer people present in a Senior Psychosocial Rehabilitation Service. The supervisor may be included in this ratio.